Active NPI
Kathryn E Tuczynski, MSW
- Clinical Social Worker
- Saratoga Springs, NY
National Provider Identifier
1780716860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 067078-1
- Practice address
- 211 Church St
Cramer House
Saratoga Springs, NY 12866-1046 - Phone
- (518) 584-9030
- Fax
- (518) 581-1709
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 067078-1 | NY | Primary |
Addresses
Primary practice location
211 Church St
Cramer House
Saratoga Springs, NY 12866-1046
Mailing address
PO Box 126
Greenfield Center, NY 12833-0126
Phone (518) 893-7414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00639496 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067078-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780716860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 126",
"city": "GREENFIELD CENTER",
"state": "NY",
"postal_code": "128330126",
"telephone_number": "518-893-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 CHURCH ST",
"address_2": "CRAMER HOUSE",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661046",
"telephone_number": "518-584-9030",
"fax_number": "518-581-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCZYNSKI",
"first_name": "KATHRYN",
"middle_name": "E",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "067078-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00639496",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.